MEDICARE: BLANCA ESTELA SVEDBERG LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	CC00141	MN

General Provider Information

NPI Number	:	1689988826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BLANCA ESTELA SVEDBERG LPCC

Provider Business Mailing Address
First Line	:	2839 EAGLE VALLEY CIR
Second Line	:
City	:	WOODBURY
State	:	MN
Zip	:	55129-4264
Country	:	US
Telephone Number	:	651-353-0805
Fax Number	:	651-222-1305

Provider Business Practice Location Address
First Line	:	1711 COUNTY ROAD B W STE 115S
Second Line	:
City	:	ROSEVILLE
State	:	MN
Zip	:	55113-5595
Country	:	US
Telephone Number	:	651-330-0968
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2010
Last Update Date	:	05/17/2026

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